Vipin-920713040193

A division of
OM Computer Training Institute
Regd. Under Companies Act | Ministry of Corporates Affairs Govt of India
Regd Office : E-84, Gali No. 4, New Ashok Nagar, Near Dashmesh Public School, Vasundhra Enclave, New Delhi, 110096
Application Form

Student Details

Name of Candidate : Vipin
Reg. No. 920713040193

Student Photo Not Available
Mother's Name : Kanti Devi
Father's Name : Nitesh
Date of Birth * : 19-May-2008
Gender : MALE
Nationality : INDIAN
Present Address : property No.231 ground floor raghubir nagar, F Extn 25 SQ yard, Tagore garden, pO: Tagore garden,Delhi-27
Mobile No. : 9711432423
Email Address : amankumarkumar2055@gmail.com

Course Details

Course Name /Code : Certificate in Computer Application (CCA)
Course Duration : 3 Months

Attached Document

Identity Proof : Download
Educational Certificate : Download
Decleration

I hereby declared that all the informations are correct and true to the best of my knowledge and belief.

Place: , East Delhi
Date : 16-Apr-2025

Signature of Student

Center Details

Center Code : 92071304

Verified By
Center Name : OM Computer Training Institute
Center Address : West Vinod Nagar, Delhi-92, (East Delhi)
ID Proof
Educational Proof